Parkinson's disease can't be operated on

summary

An old man in the same community suffers from Parkinson's disease. He usually has to sit in a wheelchair, can't walk at all, can't control his shaking fingers, and can't do surgery for treatment. Let me introduce how to treat Parkinson's disease.

Parkinson's disease can't be operated on

First, early treatment of PD. The DA neurons in substantia nigra striatum system can compensate for the increase of DA synthesis in the early stage of PD. Physiotherapy (massage, hydrotherapy) and physical therapy (joint activity, walking, balance and language exercise, facial expression muscle exercise) are recommended to strive for the cooperation of patients' families, encourage patients to take more active exercise, and delay the drug treatment time as far as possible. If the disease affects the daily life and work of patients, drug treatment is needed.

Second: drug treatment. At present, PD is still mainly treated with drugs, such as restoring the balance of Da and ACh neurotransmitter system in striatum, using anticholinergic and improving Da neurotransmitter function drugs, improving symptoms, but not preventing the development of the disease. Surgery can correct the high inhibitory output of basal ganglia. The indication is that patients with drug treatment failure, intolerance or dyskinesia (dyskinesia), younger age, mainly tremor and ankylosis, and partial to one side have better effect. Drug treatment is still needed after surgery.

Third: surgical treatment. Stereotactic surgery for PD began in the 1940s. In recent years, with the development of microelectrode guided stereotactic technology, microelectrode recording and analyzing the characteristics of cell discharge can accurately locate the neurons that cause tremor and myotonia, so as to achieve cell function localization, which can significantly improve the efficacy and safety of surgery.

matters needing attention

Parkinson's disease mostly occurs in the elderly. Generally speaking, the disease should be actively prevented. The treatment methods of Parkinson's disease include drug treatment, surgical treatment and rehabilitation training. The specific treatment methods can not be generalized for each patient.